A stiletto heel is a long, cadaverous heel page found on some boots and shoes, usually for women. It is named after the stiletto dagger, the phrase being first recorded in the initial 1930s. Stiletto heels may vary in length from 2.54 centimetres (1 inch) up 20.32 cm (8 inches), and are sometimes defined as having a diameter at the ground of less than 1 cm (half an inch). Such heels shorter than 5 cm are called kitten heels.

Stiletto heels are often used in trampling fetishism where in the event that a dominant partner would trample on a submissive partner with the intention of hurting him/her for a sexual pleasure received by both the dominant and the submissive.